Alexandria Seniors Can Get Help with Medicare Plan Changes

Posted by:  :  Category: Medicare

Receiving Thanks from Seniors by ct senatedemsOpen enrollment for making changes to Medicare D and Medicare Advantage plans is under way and will continue until Dec. 7.  Changes made during this period will be effective Jan. 1.   It is important to review your plan because Medicare Part D and Advantage plans are allowed to make changes in their premium costs, deductive, co-payments and formularies (the list of drugs covered by their plan), according to a city news release.   Free counseling will be provided in Alexandria through VICAP, the Virginia Insurance Counseling and Assistance Program, and the Department of Community and Human Services Division of Aging and Adult Services. 
Source: patch.com

Video: Medicare vs Medicaid 612-309-9184 Minnesota Medical Assistance Minneapolis Elder Law Attorney

Okla. Medicare Assistance Program educates seniors about fraud

PARIS, TX – Bobby G. Littlefield, Jr., P.E. currently serves as the Texas Department of Transportation’s District Engineer for the nine county Paris District. He supervises 267 employees responsible for the planning, design, construction, maintenance and operation of a 7100 mile system of highways. Beginning January 7, 2013 he will become TxDOT’s District Engineer in Waco. Read More
Source: kxii.com

Where to go for Medicare assistance

Too much information? Too many options? Baffled by the Internet? The Michigan Medicare/Medicaid Assistance Program (MMAP) provides free counseling to Medicare and Medicaid beneficiaries in southeast Michigan through the Area Agencies on Aging. For some, walk-ins are welcome, but appointments are required in other time slots. Seniors should bring their Medicare cards and a list of medications. They are also welcome to bring someone who can help them sort out the information.
Source: stonesdetroit.com

Medicare: Help enrolling or switching plans

Visit Medicare.gov. Its Plan Finder allows you to compare a wide range of costs across multiple drug and Medicare Advantage plans available in your county. It also has ratings on each plan’s performance and quality. Most important, it allows you to enter prescription drug names to gauge whether they’re covered and at what cost under a variety of plans.
Source: oregonlive.com

Seniors Need To Be Tenacious In Appeals To Medicare

LocalHealthGuide is a health news and information web service for Seattle and the Puget Sound Region. We are independent and unaffiliated with any hospital, medical association or insurer. If you have questions or if your group has an upcoming event that you would like us to cover, please let us know by going to our “Contact Us” page and dropping us a note. — Michael McCarthy, Editor
Source: mylocalhealthguide.com

Viewpoints: Politicians Flirting With Danger On Medicare Eligibility Age; Maybe Doctors Should Be Paid Less

Posted by:  :  Category: Medicare

Old people read alone... by Ed YourdonThe Medicare NewsGroup: Progressives Launch Medicare Defense Campaigns It remains to be seen whether the White House will go beyond the above-stated “savings” and venture into the realm of even-more radical reform at this point in the fiscal-cliff battle. The next tier of savings may involve chipping away at the Medicare’s expensive, but-popular, “fee for service” model, which many progressives have suggested needs to be reexamined and possibly abandoned over time. Despite the pitched battle that has created this political equivalent of a World War I-style stalemate, radical reform—if it comes at all—will most likely be delayed … It’s far too complicated and politically toxic to undertake now as Congress faces a year-end deadline with no compromise in sight  (John F. Wasik, 12/12).
Source: kaiserhealthnews.org

Video: Medicare/Medicaid Sales Careers

Medicare Premiums Could Rise for Many Retirees

Both sides agree on expanding a current, little-known law so more retirees considered well-off by the government are required to pay higher premiums for outpatient and prescription coverage. That would raise $20 billion or more over 10 years.
Source: kolotv.com

Medicare Provider Outreach Education Consultant Future Open Jacksonville Florida Job – Apply Online

Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required). *Current WellPoint associates: All referrals must be submitted through the formal associate referral process on WorkNet. Official guidelines for the associate referral program can be found in My HR.
Source: careersatwellpoint.com

Career at Themis Medicare as a Head Regulatory Affairs

a. Candidate must have worked in Regulated, Semi Regulated and ROW Markets. b. Proven experience of Preparing Dossiers in CTD and eCTD. Responsible for submission of technical tender documents for international and domestic tenders c. Should have filed API and intermediates DMF independently. d. Should have experience in QC, Experience of Analytical Method Development. e. Responsible for adhering to ICH and CGMP guidelines and ensure the implementation of the same. f. To co-ordinate with different support functions like Q.A and Q.C for effective & time bound operations. g. Capable of identifying project or team issues in advance and seeking necessary help and support to resolve. h. Should have successfully faced various regulatory audits like WHO, MHRA, EDQM, Internal Auditors, able to face queries of suppliers etc. Handling and sorting out technical queries received from agents and health authorities of respective countries for registration of products.
Source: pharmatutor.org

Heavy price: Medicare overpaying for back braces

But investigators found that for one-third of claims, suppliers did not report any fitting and adjustment help. Support services varied for the remaining two-thirds of cases. Some suppliers reported taking hip and waist measurements. Others said they adjusted the braces in some fashion. Nearly half the claims involved services from medical professionals such as doctors, chiropractors and physical therapists.
Source: wafb.com

Looming Medicare cuts may greatly affect Florida’s hospitals

As I watched the presidential candidates talk about sequestration during their last debate, I couldn’t help but wonder if the average citizen really understands the potential effect of sequestration on healthcare. The sequester, under the Budget Control Act of 2011, is set to begin on January 2, 2013 unless Congress comes up with another solution to cut $1.2 trillion, yes that is trillion with a “t”, in federal spending over the next ten years. Working in healthcare policy, sequester has become a word used on a daily basis as these automatic cuts would have a serious effect on Medicare reimbursement for providers like Orlando Health. However, when I listen to the media, it seems the main focus of the discussion revolves around the military spending cuts rather than the other cuts included in the legislation. Please understand, by no means am I trying to downgrade the significance of the military cuts—a 10 percent cut to mandatory military spending is novel. My goal here is to not downgrade the detrimental power of any of these automatic cuts, but to specifically highlight the threat that these cuts have on Medicare reimbursements.
Source: winniepalmerhospital.com

Save money by skimping on Medicare?

Think of yourself in your early 20s-young, energetic, maybe a little naïve in some ways.   All it takes is a look into one’s old closet or record collection to realize that. But one thing we all have in common is the belief that when we entered our careers, worked hard, paid taxes, that our investment in our future would pay off.  Our health care costs would be taken care of because we faithfully paid into Medicare for 30, 40, 50 years.  It’s a good thing our 20-something self didn’t hear the current discussion of raising the Medicare age to solve Washington’s budget woes.
Source: mnablog.com

Business Service Professionals at Medicare Incorporations / JobNAVY.com

Posted by:  :  Category: Medicare

OBAMAS DEATH PANEL------ GUESS WHAT FOLKS IT'S ALIVE AND WELL---"CRAZY PALIN" NOT SO CRAZY NOW by SS&SSPosition: Business Services Professional Level:  Entry-Level Opportunities for Any Major Location: Lagos        Job area: Consulting & Services Description MEDICARE INC. is looking for university candidates with the skills, creativity and passion to help us meet and overcome challenges. And not just anyone. We are looking for exceptional people, like you, with the potential not only to become great consultants but also the future leaders of the organization. We welcome you to join ONEAL’s Consulting by Degrees Program — our world-class initiative to identify and groom entry level business consultants into tomorrow’s leaders. The Program will provide you with tailored mentoring, training, support and practical experience you need to take your potential and accelerate your career to the next level. At MEDICARE Business Services, we partner with Multinational companies to deliver real business value by: – Enriching business consulting with advanced research, analytics and technology. –  Teaming on all phases of engagement to plan, build and implement business solutions. –  Establishing new, flexible and Interactive approaches through our unique combination of skills, experience and capabilities. Our consultants provide an integrated approach to business design and execution—turning strategies into actions. These strengths applied to business issues and opportunities give our clients not only the ability to anticipate change, but also take advantage of new possibilities. Basic/Required Qualifications: He/She; – Formulates market research goals and objectives in accordance with the Company’s growth, profitability, and expansion objectives; and makes suitable recommendations to the Head, Business Development. – Supports the organization’s strategic planning with comprehensive data and other relevant business information and ideas for the portfolio of products.   –  Provides predictive data through research of customer buying patterns, segment trends and product utilization requirements and identifies opportunities to create and/or optimize value in the local and regional supply & trading market.   Knowledge & Skills Required       Very good understanding of Business, Critical Reasoning, Basic Finance, Basic Financial Accounting and Management Accounting     Investment appraisal and management     Business Performance Management     Creativity & Innovation     Team playing     Good Oral & Written Communication     Intermediate level knowledge of MS Excel, PowerPoint and Word     Strong analytical skill     Networking & Relationship Management     Negotiation     Creativity & Innovation   Preferred Qualifications: – Minimum 3.5 GPA –  Demonstrated history of achievement in academics, internships, coops and/or work    experience, preferably involving business and presentation skills. –  In process of obtaining Bachelors or having graduated up to a maximum of 2 years ago.   Deadline: 19th Jan, 2013.
Source: jobnavy.com

Video: How To Stop Medicare Fraud.camrec.avi

Nonprofit Hospitals ‘In the Cross Hairs’ on Medicare Cuts

Congressional Republicans want deeper Medicare cuts than the $300-billion over 10 years outlined by President Obama. Democrats strongly oppose GOP proposals to save money by raising the eligibility age, instead favoring cuts structured around care providers—for example, reductions in payments to hospitals for some outpatient services.
Source: philanthropy.com

Sorting out Medicare Enrollment

There are 28 Part D prescription drug plans available in Boulder County for 2013.  They all have different premiums, deductibles, copays, and categories of drugs.  Each plan has a formulary, which is a list of drugs they cover and how much enrollees would have to pay out of pocket for each medicine.  On Medicare.gov you can enter in your prescriptions and compare costs from plan to plan.  There are 24 Medicare Advantage plans available locally and over 20 Medigap insurers, each with several flavors of coverage.
Source: yellowstonefinancial.com

Could biometric scanning reduce Medicare fraud?

The Biometrics Market is very diverse, ranging from Ultrasound Fingerprinting and Facial / Voice Recognition to Retinal and Iris Scanning. Biometrics can be complicated, but Hand Geometry, Facial Recognition and retinal scans are already being used by the military and law enforcement. However, the latter requires cooperation by potential patients due to the fact it can only be used within a few centimeters of the detection device. Individual iris scanning technology started in the 1990s, which is a little different because not only is it more accurate, it can recognize people from several centimeters to several meters away. The interesting thing about this technology is that it can be used for people who are incoherent, unconscious, the elderly, children, neonates and others. With that broad perspective of utilization, it provides a larger base of patient identification.
Source: libertyunyielding.com

HHS DOJ Letter on Improper Medicare Billing

On September 24, 2012, the Department of Health and Human Services (HHS) and the Department of Justice (DOJ) issued a letter concerning improper Medicare billing to the following hospital organizations; American Hospital Association, Federation of American Hospitals, Association of Academic Health Centers, Association of American Medical Colleges and the National Association of Public Hospitals and Health Systems.  Electronic health records have the potential to save both money and lives, but the HHS and the DOJ have discovered indications that providers are utilizing the new technology in order obtain payments for which they are not entitled.  The false documentation of care issues that they addressed are as follows:
Source: hchealthcareconsultingllc.com

ATRIO Health Plans California Healthcare News Consultant Marketplace

We are a health plan with a Medicare contract offering Medicare Advantage plans to Medicare eligibles living in Marion, Polk, Douglas or Kalamath counties. We also offer a Special Needs Plan for those area residents who have dual eligibility for both Medicare and Medicaid.
Source: cahcnews.com

Medicare & Medicaid Issues

4. A survey found Medicare RAC audits are most common types of audits among hospitals and healthcare providers, with 47 percent of all entities reporting at least one. On average, for-profits reported less than four within the past 12 months, whereas non-profits reported more than six.
Source: msktelerads.com

Chilaw medicare Consultants

A woman admitted at the Chilaw General Hospital and receiving treatment for injuries sustained from an accident, has committed suicide by hanging herself within the hospital premises. The 40-year-old female was found hanging inside a toilet by hospital staff last night, police said.
Source: blogspot.com

A Plan F is a Plan F, is a Plan F

   Rates can vary significantly.  In Virginia, as of this writing,( September 17, 2012) a Plan F rate for a 65 year old female can range from a low of $92.13 per month to over $300 per month.  (We are talking identical coverage!) These rates vary due to many factors such as the area in which you live.  For example, a person who lives in one zip code can pay $20/per month less than their neighbor who lives down the road but in a slightly different zip code.  A smoker may pay more with some companies.  Males may have a higher rate with some companies.  Some plans have rates which are guaranteed to increase every year as you get older.  Some plans level off their rates after age 75.  (Unfortunately, all of them can – and do- raise their rates on an across the board basis.)
Source: pqwic.com

False urgency: Social Security and Medicare reform and the 'fiscal cliff'

Posted by:  :  Category: Medicare

Healthcare solution >> more doctors by / // /There is a debt imbalance that should be addressed once we are out of the recession. Second, you may have “heard” that the greatest contributor to our debt imbalance is entitlements, but it isn’t true. The solution to our fiscal imbalance is rarely to further immiserate those of limited economic means. The greatest contributor to the imbalance is the embedding of massive rent-seeking by a few into the financial, legal and administrative structures of our government (as well as our private economy). Third, why do you care about “the President’s plan”? Why aren’t you interested in what the actual problems are and what the actual ways to address them would be, instead of silly partisan jousting? We both know that the power structures of both major parties prevent either of them from being able to talk about or advance actual solutions. That is why Ms Jumbe’s real-life experience unfortunately is not very much of interest to our policy makers.
Source: minnpost.com

Video: 2012 Open Season: Medicare and the Federal Employees Health Benefits (FEHB) Program

HANYS Benefit Services: Questions and Answers on the Additional Medicare Tax

If a former employee receives group-term life insurance coverage in excess of $50,000 and the resulting income is in excess of $200,000, how does an employer report Additional Medicare Tax on this? The imputed cost of coverage in excess of $50,000 is subject to social security and Medicare taxes, and to the extent that in combination with other wages it exceeds $200,000, it is also subject to Additional Medicare Tax. When group-term life insurance over $50,000 is provided to an employee (including retirees) after his or her termination, the employee share of social security and Medicare taxes and Additional Medicare Tax on that period of coverage is paid by the former employee with his or her tax return, and is not collected by the employer. An employer should report this income as wages on Form 941, Employer’s Quarterly Federal Tax Return (or the employer’s applicable employment tax return), and make a current period adjustment to reflect any uncollected employee social security, Medicare, or Additional Medicare Tax on group-term life insurance. However, unlike the uncollected portion of the regular (1.45 percent) Medicare tax, an employer may not report the uncollected Additional Medicare Tax in box 12 of Form W-2 with code N.
Source: hanysbenefits.com

Dems twist jobs numbers and GOP Medicare ideas

Burningbrightly all Erectile Dysfunction meds are covered by health insurance where birth control is not i dont know about you but free birth control seems like a good thing if you had a teenage daughter over 13 there is a good chance now days that she is sexually active now would you prefer the health department provides her with birth control or that she gets pregnant at 15 and has to quit school and work to support her baby or not quit school and you end up taking care of the baby and any normal teen life she may have had will be for the most part gone either way. Yeah you can preach abstinence but you were a teen once just like i was and everyone else was and most generations that went through their teen years from the 60s to now have progressively started being sexually active sooner and sooner so talk until you are blue in the face but i know as a teen i did what i wanted as many do now and i would prefer my daughter be on birth control and know she will not end up pregnant now you say fine then you pay for her birth control well thats fine but some people may not be able to afford it so those individuals are going to have no choice to prevent a teen pregnancy? that doesnt seem right to me. Also not everyone on welfare is a leech I had 7 brothers and sisters my Dad made decent money but not enough for all of us so yes we got food stamps but my dad worked full time 6 days a week to be able to afford everything else for all of us and thankfully welfare helped provide us with enough food that we could eat decent meals. I was making 36000 a year not a hefty sum i know but decent for my area and i still needed a little help each month to pay for food i was only getting about 120 dollars a month on the vision card but without it we would not have been able to get by a full month on food after all the bills we had to pay I worked hard and a lot of times i was working 12-17 hour days as a Grain Elevator Superintendent that was during summer and fall harvest all the while on salary getting no overtime I busted my ass to provide for my family and that little bit of extra help got us through so not all welfare recipients are lazy frauds who dont want to work I think that is an unfair almost bigoted view on welfare recipients and the welfare program in general. I am astonished at the number of supporters romney/ryan are getting with the back peddling on issues proven outright lies and overall complacency they seem to have with the average americans plight you need to go be a fool somewhere else myself i am a realist and see things for how they are and i am in full support of another 4 years of the 2nd best thing to happen to our government since the 70s the best being Bill Clinton. Obama/Biden 2012
Source: nbcnews.com

0.9% Medicare Tax Increase: IRS Provides Guidance

John and Heather are married and file jointly. John earns $150,000 in FICA wages and Heather earns $175,000 in self-employment income. John’s wages don’t exceed the $250,000 threshold for joint filers, so the couple isn’t liable for additional Medicare tax on his wages. To calculate the tax on Heather’s self-employment income, subtract John’s $150,000 from the $250,000 threshold, for a reduced threshold of $100,000. The couple is liable for additional Medicare tax on $75,000 (Heather’s $175,000 in self-employment income minus the $100,000 reduced threshold).
Source: mcmcpa.com

New 3.8% Medicare Tax on Investment and Unearned Income Beginning in 2013

St. Louis, MO 63101 New 3.8% Medicare Tax on Investment and Unearned Income Beginning in 2013 Starting January 1, 2013, a new 3.8% Medicare1 tax will apply to the investment and “unearned income” of individuals, trusts and estates. The tax is intended to apply to income exempt from the regular FICA or self-employment taxes. Avoiding or reducing the impact of this new 3.8% tax will require sophisticated tax planning both pre-and post-January 1, 2013. However, it may be difficult to reduce the impact of this new tax, especially for taxpayers with significant amounts of investment and unearned income. The last part of this memorandum describes certain tax planning ideas that may be suitable for taxpayers depending on their particular tax and economic status. Specifically, beginning January 1, 2013, a new 3.8% Medicare tax will apply to the lesser of a taxpayer’s (i) net investment income or (ii) the excess of the taxpayer’s modified adjusted gross income (MAGI) over a threshold amount. MAGI in the case of an individual generally equals an individual’s adjusted gross income with certain technical adjustments. For married individuals filing joint returns, the threshold amount is $250,000 and for single individuals the threshold amount is $200,000. In the case of a trust or an estate, the tax is imposed on the lesser of (i) “undistributed” net investment income or (ii) the excess of adjusted gross income over the dollar amount at which the highest income tax bracket applicable to a trust or estate begins (currently $11,650). Therefore, the low limits at which the tax can apply will force trusts and estates to pay particular attention to the tax. However, simple trusts that provide only for distributions of current income, and whose terms require all current income to be distributed, will avoid the new tax (although the trust beneficiaries may not). Also, the new tax does not apply to trusts where all unexpired interests are devoted to charitable purposes. For all taxpayers, the most important part of the new tax is the definition of “net investment income.” Net investment income is generally defined as investment income reduced by properly allocable deductions. Investment income generally will include all of the following: ? Interest, dividends, annuities, royalties and rents (with certain exceptions). ? Capital gain from the sale of stocks, bonds and other securities. ? Income from a trade or business that is a “passive activity” with respect to the taxpayer and conducted by an entity taxed as a partnership, limited liability company or S corporation.? Net gain from the sale of an interest in a partnership, LLC or S corporation to the extent attributable to a trade or business which is a “passive activity” with respect to the taxpayer. ? Income from the trade or business of trading in financial investments or commodities. In general, an activity is passive with respect to a taxpayer if the taxpayer does not “materially participate” in the trade or business. Material participation is determined under the passive loss rules and can involve a highly complex analysis. In general, working in the business more than 500 hours a year will avoid passive treatment, but other more liberal tests may also be satisfied, some of which depend on the ownership structure and others that require as few as 100 hours of annual participation. Some additional examples of income subject to the new tax include taxable distributions from mutual funds and the taxable portion of gain recognized upon the sale of a primary residence. Equally important are the categories of income generally exempt from the new tax: ? Income or gain from a trade or business conducted by a partnership, LLC or S corporation to the extent the trade or business is not a passive activity (except to the extent the trade or business earns investment income, e.g., on working capital). ? Distributions from tax-qualified pension and profit sharing plans and IRAs, although they may increase MAGI. ? Tax-exempt interest. ? The portion of the gain from the sale of a primary residence that is excluded from income. ? Income and gain already subject to the tax on self-employment income. Thus, income and gain from a business which is not a passive activity to the taxpayer will not be subject to the new tax. However, except in the case of an S corporation, earned income from a passthrough entity that is not a passive activity will be subject to an increase in the existing Medicare surcharge (the tax on self-employment income) from 2.9% to 3.8%. In general this tax increase will affect taxable income exceeding $250,000 for married taxpayers and starts in 2013. The amount of the new tax will have to be taken into account in figuring a taxpayer’s quarterly estimated tax payments and the tax is non-deductible. Income Tax Planning Ideas While not intended as a complete list, the following are some planning ideas to consider to reduce the impact of the new tax: ? Invest in tax-exempt bonds. ? Accelerate into 2012 any investment income that would otherwise be subject to the new tax in 2013, e.g. accelerate the sale of stocks and bonds. ? Defer unrealized capital losses to 2013 to offset capital gains subject to the new tax. ? Increase contributions to tax-qualified plans rather than investing outside such plans (although distributions from such plans may increase MAGI). Also, note that this technique may be less attractive if the current lower rates on dividends and capital gains on assets held outside such plans are extended by legislation.? Harvest passive losses in future years to offset passive income and gains (although the ability to do so will depend on IRS interpretations). ? Revisit ownership structures that affect the treatment of an activity as passive. ? To the extent an entity provides for tax distributions to its members, partners or shareholders, consider adding the new tax as an additional distribution, if appropriate. Of course, any tax planning should also make sense from an investment and economic perspective. For example, trade-offs may exist: classifying a taxpayer’s trade or business activity as active rather than passive will avoid the new tax from being imposed on the taxpayer’s income and gain from the business. But the switch from active to passive activity will also prevent a taxpayer’s reclassified passive losses from offsetting income and gain from the trade or business. Please note that the IRS has not yet issued any guidance on a variety of interpretive questions and that all of the above is subject to modification depending on such guidance. Some of the issues that should be addressed in the guidance include the following: ? How to allocate expenses in figuring net investment income. ? Can pre-2013 passive losses be used to offset post-2012 passive income otherwise subject to the new tax? ? In the case of real estate professionals whose rental income is generally treated as not passive, how will rental income be treated as derived in the “ordinary course of a trade or business” (which would exempt rent from the new tax)? ? In the case of trusts, how will the trust determine whether it is “participating” sufficiently in an activity so as to avoid causing the activity to be passive (which would exempt the trust from the new tax? Will the services of employees and agents be attributed to the trustee? ? In the case of a trust that receives multiple classes of income, how will the trust determine which type of income is “undistributed” net investment income subject to the new tax? In the meantime, taxpayers potentially affected by this new tax should consult their tax advisers. ______________________ 1 Although the legislation appears in the provisions of the Internal Revenue Code dealing with Medicare taxes, the receipts from the new tax will not be used to fund Medicare but will be added to the general tax revenues of the government. The tax was enacted as part of the Obama healthcare legislation. If you have questions on this or any tax issue, you may contact your Thompson Coburn attorney or one of the attorneys listed below: Scott Bieber 312-580-2206 sbieber@thompsoncoburn.com Edward J. Buchholz 314-552-6377 ebuchholz@thompsoncoburn.com Thomas R. Corbett 314-552-6022 tcorbett@thompsoncoburn.com Stephen E. Cupples 314-552-6027 scupples@thompsoncoburn.com Georgia Loukas Demeros 312-580-2303 gdemeros@thompsoncoburn.com Laura M. Duncan 314-552-6312 lduncan@thompsoncoburn.com Steven B. Gorin 314-552-6151 sgorin@thompsoncoburn.com Jodie E. Distler Hanzlik 312-580-2310 jdistlerhanzlik@thompsoncoburn.com Lawrence P. Katzenstein 314-552-6187 lkatzenstein@thompsoncoburn.com Katherine G. Knapp 314-552-6357 kknapp@thompsoncoburn.com Jason P. Thein 314-552-6562 jthein@thompsoncoburn.comThompson Coburn LLP Chicago
Source: jdsupra.com

Employee Portion Medicare Increases for 2013 : ADP Compliance Insights

401(k) 403(b) 408(p) 457(e) 2013 Social Security changes ACA Affordable Care Act Allowable Deductions AMT Patch bank fees CA EZ California Claims management direct deposit electronic pay card electronic payroll electronic tax filing employee rate for social security employment tax empowerment zones Enterprise Zone Program estate tax extender package Federal Federal Unemployment Tax Act Fiscal Cliff Form 941 FUTA Illinois incentives Indian Employment Credit Internal Revenue Service IRS Louisiana Medicare Reimbursement Rates medicare tax payroll tax Proposition 30 Proposition 39 retroactive tax credit Social Security Tax Credits unemployment insurance Work Opportunity Tax Credits WOTC
Source: adpcomplianceinsights.com

Bilingual Medicare Sales Agent Manager (Chicago) Job for Insurance Sales Web.com at UnitedHealth Group

View All Insurance Sales and Marketing Jobs Jobs by Type Account Representatives / Executives / Managers Brokers Directors / Executives District / Regional Managers Field Sales Associates / Representatives Insurance Agent Jobs Insurance Agent Jobs Property / Casualty Agency Insurance Agent Jobs Life / Annuities Agency Insurance Marketing Insurance Producer Insurance Sales Assistants Marketing Managers
Source: insurancesalesweb.com

Office of Statewide Benefits provides information on Medicare Parts A, B enrollment

Failure to enroll and maintain enrollment in Medicare Parts A and B upon eligibility may result in the subscriber being held financially responsible for the cost of all claims incurred, including prescription costs. Retirees and spouses enrolled in Medicare Parts A and B must provide a copy of their Medicare Identification Card to be enrolled in the state of Delaware Special Medicfill plan.
Source: udel.edu

Medicare Hospital Insurance Tax

Beginning in 2013, as part of the health care reform legislation of 2010, an additional 0.9% of HI tax will apply to an individual’s wages, other compensation and self- employment income that exceed a threshold amount based on the taxpayer’s filing status (please see the chart below). There is no employer match for the additional HI tax. It is solely paid by employees but employers are required to withhold and pay it to the Internal Revenue Service. The additional HI tax brings the high-income taxpayers HI taxes to 3.8% (1.45% employee share, 1.45% employer share, plus the new 0.9% additional employee share), the same for self-employment tax (a 2.9% base and  the new 0.9 % additional).
Source: mohlernixon.com

farmdocdaily: Farms and the New 2013 Medicare Tax Increases

The total amount of capital gain and depreciation recapture is $365,000 ($300,000 + $50,000 + $15,000). Samantha did not materially participate in the farming activity for 2013. She worked full-time as a stockbroker. In addition to paying capital gains tax on the $300,000 gain on the sale of the farmland, she will also pay the 3.8% Medicare tax on some or all of that capital gain and on the depreciation recapture amount on the assets sold. The total amount of Medicare tax she will pay on the transaction depends upon her income from other sources and how much income she has over the $200,000 threshold for a single filer that applies once her other income and the income from the farm sale are reported. If Samantha has $200,000 or more income from her stockbroker position, the 3.8% Medicare tax will apply to the entire capital gain and depreciation recapture amount. Her total amount of the new Medicare tax will be $13,870 (3.8% X $365,000). If she has under $200,000 of income from other sources, only part of the farm sale transaction (that amount in excess of $200,000 of income) will be subject to the new 3.8% Medicare tax.
Source: illinois.edu

Brad DeLong : Aaron Carroll: Raising the Medicare Eligibility Age Is Really, Really, Really, Really Bad Policy

Washington would see $24 billion in Medicare savings. But it also would see a rise of about $9 billion in Medicaid spending and another $9 billion in subsidy spending, which would reduce the overall savings to about $5.7 billion. But all those 65- and 66-year-olds need insurance. Those who get it through their jobs would cost employers another $4.5 billion. Others would go to the exchanges. But, ironically, removing these people from the Medicare risk pool and adding them to the exchanges makes both groups less healthy, so everyone’s premiums would go up. This would cost all Americans another $2.5 billion. States have to cover a portion of the new Medicaid spending. That’s $700 million. Finally, there are the out-of-pocket costs to seniors, which may rise by $3.7 billion.
Source: typepad.com

Medicare Surtax Regulations Are Out

to help employers implement the additional .9% Medicare surtax for wages, self-employment income and other compensation. Effective January 1, 2013, employers must begin withholding this additional .9% Medicare tax for employees with wages in excess of $200,000. For a joint return on which neither spouse earns more than $200,000 but, when combined, results in earnings of more than $250,000, the tax is due but the employer will not be responsible for the added withholdings.
Source: wscpa.org

IRS: Discussion of the Additional Medicare Tax

The following questions and answers provide employers and payroll service providers information that will help them as they prepare to implement Additional Medicare Tax which goes into effect in 2013. Additional Medicare Tax applies to individuals’ wages, other compensation, and self-employment income over certain thresholds; employers are responsible for withholding the tax on wages and other compensation in certain circumstances. The IRS has prepared these questions and answers to assist employers and payroll service providers in adapting systems and processes that may be impacted.
Source: investment-fiduciary.com

Medicare Targets Health Plans With Low Ratings

Posted by:  :  Category: Medicare

Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

Video: Is Freedom Blue PPO a Medicare Supplement?

Medicare Advantage: Anthem Medicare PPO Alternative in Las Vegas, NV

The second option is to upgrade to a Medicare Supplement.  Because your plan is not renewing, you have the guarantee issue right to a supplement.  You cannot be denied for health history.  The monthly cost will be higher than that of the PPOs, but a supplement will give you freedom to see any doctor that accepts Medicare and you will no longer have co-payments if you select a Medicare Supplemental Plan F.
Source: suncityfinancial.com

California Medicare Insurance: Anthem Medicare Preferred PPO Replaces Freedom Blue for 2012

One of the newest Medicare Advantage plan in California for 2012 is the Anthem Medicare Preferred Standard PPO or AMP. The Anthem Medicare Preferred is the newest successor to the Freedom Blue Regional PPO plan that became very popular over the past few years. The plan offers significant freedom of choice in regards to your medical service providers. The AMP PPO plan is only available in select counties throughout California and the benefits are different from county to the next. The plans are grouped below by counties that share the same benefits:
Source: blogspot.com

How to Choose the Medicare Advantage Plan that’s Best for You

Medicare Advantage plans can be attractive because of the low or $0 monthly premiums insurers charge.  Like anything in life, there are trade offs and sacrifices we all have to make.  When it comes to Medicare Advantage plans, the trade offs are usually less freedom when it comes to which doctors and hospitals you can use as well as more restrictions or red tape when it comes to getting services covered.  In order to choose a Medicare Advantage plan wisely, I’ve come up with an easy guideline to follow.  Following these steps should hopefully ease the potential frustrations within Medicare Advantage.
Source: medicareplansstcharles.com

Dave Fluker’s California Health Insurance Blog: Anthem Medicare Advantage LPPO and Sutter Health Group

Sutter Health Group and Anthem Blue Cross MAPD LPPO (Medicare Preferred PPO and Medicare Preferred Select LPPO) have been unable to reach agreement on a new contract. As of February 1, 2012, Sutter will no longer be a participating provider for Anthem Blue Cross CA hospital and professional network. The ancillary services for Sutter will continue to be a participating provider. Again, this contract issue affects Medicare Advantage PPO and Medicare Advantage LPPO subscribers. The following Sutter Health facilities are affected: Sutter Roseville Medical Center – Roseville, CA Alta Bates Summit Medical Center – Alta Bates/Herrick – Berkeley, CA Alta Bates Summit Medical Center – Summit Campus – Oakland, CA California Pacific Medical Center – California – San Francisco, CA California Pacific Medical Center – Davies – San Francisco, CA California Pacific Medical Center – Pacific -San Francisco, CA California Pacific Medical Center – St. Lukes – San Francisco, CA Eden Hospital Medical Center – Castro Valley, CA Memorial Hospital Medical Center – Modesto – Modesto, CA Memorial Hospital of Los Banos – Los Banos, CA Menlo Park Surgical Hospital – Menlo Park, CA Mills Hospital – San Mateo, CA Novato Community Hospital – Novato, CA Peninsula Hospital & Medical Center – Burlingame, CA San Leandro Hospital – San Leandro, CA Sutter Amador Hospital – Jackson, CA Sutter Auburn Faith Hospital – Auburn, CA Sutter Coast Hospital – Crescent City, CA Sutter Davis Hospital – Davis, CA Sutter Delta Medical Center – Antioch, CA Sutter General Hospital – Sacramento, CA Sutter Lakeside Hospital – Lakeport, CA Sutter Maternity & Surgery Center – Santa Cruz, CA Sutter Medical Center of Santa Rosa – Santa Rosa, CA Sutter Memorial Hospital – Sacramento, CA Sutter Solano Medical Center – Vallejo, CA Sutter Tracy Community Hospital – Tracy, CA I expect that at some point a contract agreement will be reached and will post when that happens.
Source: blogspot.com

‘Zero, Zero, Zero’ Medicare Advantage Plan

In Missouri (excluding 30 counties in the Kansas City area) Anthem Blue Cross and Blue Shield is the trade name for RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross and Blue Shield Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross Blue Shield Association. Additional information about Anthem Blue Cross and Blue Shield in Missouri is available at www.anthem.com.
Source: springfieldmonews.com

Daily Kos: The case for taking Medicaid off the fiscal cliff negotiating table

Posted by:  :  Category: Medicare

Deputy Administrator and Director for the Center of Medicare at CMS Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana Carecurb negotiators in the past few weeks. Medicaid has been left largely out of the mix, and that’s potentially a problem. Because it doesn’t have the same public advocacy profile, it could become a big, juicy target for budget cutters. Delaware Gov. Jack Markell, chairman of the National Governors Association, is one advocate for Medicaid. He made his case directly to President Obama this week. Markell said reductions in federal funding for Medicaid could force Delaware to consider abandoning its decision to expand the low-income health care program as envisioned under Obama’s 2010 health care law. An additional 20,000 to 30,000 Delawareans are expected to be covered by the Medicaid expansion, which is scheduled to take effect in 2014. Medicaid accounts for an over-sized portion of Delaware’s $3.5 billion budget and is projected to cost the state $780 million in the upcoming budget year.
Source: dailykos.com

Video: Delaware Medicare Supplements

Travel for Seniors: Delaware

This post is a guest post by John Walters who is a freelance writer who attended the 1973 Clarion West science fiction writing workshop and is a member of Science Fiction Writers of America.  He writes mainstream fiction, science fiction and fantasy, and memoirs of his wanderings around the world.  For many years he lived in Greece with his Greek wife and five sons and taught English as a second language to help pay the bills, but he has recently moved back to the United States and now lives in San Diego. 
Source: medicareecompare.com

Which States Will Boost Medicaid Physician Pay the Most in 2013?

Primary care physicians who treat Medicaid patients in Rhode Island, New York, California, Michigan, New Jersey and Florida may be able to breathe a little easier next year, as their Medicaid pay rates are estimated to increase more than 100 percent, according to a report from The Kaiser Commission on Medicaid and the Uninsured (pdf). Under the Patient Protection and Affordable Care Act, states will have the option to expand Medicaid coverage to more people. Because of this, the PPACA also included a rule that would increase Medicaid payments for certain primary care physicians to Medicare rates over the next two years, starting this January. In November, CMS released a final rule indicating that all primary care physicians in specialties of family medicine, general internal medicine or pediatric medicine (and related subspecialties) will be paid Medicare rates for Medicaid primary care services for calendar years 2013 and 2014. In the Kaiser Commission’s report, analysts looked at which physicians would benefit the most from the final rule based on their state’s Medicaid-to-Medicare fee ratio. For example, across the entire United States, Medicaid payments to primary care physicians are 58 percent of comparable Medicare payments. Primary care physicians are paid the least for Medicaid services in Rhode Island, New York, California, Michigan, New Jersey and Florida. Physicians in Rhode Island are expected to see a 198 percent raise in Medicaid payments in 2013 — the most of any state. Here are the states with the largest and smallest estimated Medicaid fee increases to primary care physicians in 2013, based on the Kaiser Commission’s report. 10 largest increases in 2013 Rhode Island: 198 percent New York: 156 percent California: 136 percent Michigan: 125 percent New Jersey: 109 percent Florida: 105 percent Pennsylvania: 96 percent Illinois: 93 percent Indiana: 87 percent Hawaii: 79 percent 10 smallest increases in 2013 North Dakota: 0 percent Alaska: 0 percent Delaware: 2 percent Oklahoma: 3 percent Wyoming: 4 percent Montana: 7 percent Mississippi: 11 percent Idaho: 13 percent North Carolina: 18 percent Vermont: 22 percent
Source: beckershospitalreview.com

Evening New to Medicare Classes

The Council for Older Adults offers a free “New to Medicare” class for individuals who are turning 65 years old and plan to enroll in Medicare. Held at the Center for Older Adults, 800 Cheshire Road in Delaware, this class will provide useful information to Delaware County residents regarding traditional Medicare Parts A & B benefits as well as how to cover the gaps in Medicare benefits through options such as: Medicare Supplements, Medicare Advantage Plans, and Medicare Part D plans.
Source: growingolder.org

Progressive Health of Delaware: We will not be accepting Medicare Advantage Plans

Beginning January 1, 2013, Progressive Health of Delaware will cease accepting Medicare Advantage plans.    Such plans offer insufficient reimbursement to cover our costs of delivering care to seniors.  In addition, they offer less coverage while costing the government significantly more money.  http://pnhp.org/blog/2012/10/
Source: progressivehealthofde.com

Information About Medicaid in Delaware Insurance Families.com

In Delaware, Medicaid is administered by the Delaware Division of Medicaid and Medical Assistance (DMMA). The Delaware Medicaid website has an easy to read Frequently Asked Questions section that gives you a lot of information about the Medicaid program. Not all states are this open with that vital information. It is always nice to find a state that actually wants people to receive the help that they need.
Source: families.com

Medigap: Sacramento, Placer Medicare Supplement Rates

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSIndependent agent for health and life insurance in northern California. CA LIC. 0H12644. Focusing on families, individuals, self employed and small business. Representing several insurance carriers including Medicare Advantage and Part D Plans. Life insurance, final expence and funeral trusts. My pledge to my clients: 1. I respect your time and decisions. 2. I will not try to sell you something you do not want or need. 3. I will not call you after 5pm unless you ask me to.
Source: insuremekevin.com

Video: Medicare Advantage vs. Medicare Supplement Insurance

Consumer reps: Medigap is not the bad guy

In the current draft of the NAIC cover letter, drafters state that, “We strongly disagree with the assertion that Medigap is the driver of unnecessary medical care by Medicare beneficiaries. Medigap insurance pays benefits only after Medicare has determined that the services are medically necessary and has paid benefits. Medigap cannot alter Medicare’s determination and the assertion that first-dollar coverage causes overuse of Medicare services fails to recognize that Medigap coverage is secondary and that only Medicare determines the necessity and appropriateness of medical care utilization and services.”
Source: lifehealthpro.com

Insurance Commissioners Reject Calls To Limit Seniors’ Medigap Policies

Medigap policies are popular with seniors because Medicare does not cap out-of-pocket expenses. The policies are not cheap — the average premium nationwide was $178 a month in 2010 — but they protect subscribers from unexpected high medical bills, which is important to people on fixed incomes. The C and F Medigap plans cover nearly all of the out-of-pocket costs that beneficiaries would usually pay.  Two thirds of people who buy Medigap plans have incomes below $40,000 a year — about the same income levels for all Medicare beneficiaries.
Source: kaiserhealthnews.org

Anthem Blue Cross Blue Shield Medicare Supplement Plans Are Affordable…

Based in beautiful Jackson Hole, Wyoming, we currently market health insurance in 18 different states from our website IndividualHealth.com. I have worked in the domestic and international markets for most of my adult life. Recently we launched a newly revamped website www.tetonmarketing.com which has a primary focus on music and Native American Flutes and hand crafted items made in Wyoming. Check it out! I want the Insurance Simplified Blog to be a place you can visit from time to time and read about real world issues that individuals and families face daily. Our parent website IndividualHealth.com we like to think of as a virtual brochure. But with the blog I want to talk about the topics behind the brochure. Also check out our blog www.JacksonHoleTim.com which is “All Things Wyoming, Everything Jackson Hole” . If you love the Yellowstone basin this is blog for you! Then when you are ready check out our new Social Network site Jacksonholetim.ning.com – this is a place you can connect with other who visit and live in Wyoming. And finally we have just launched another new blog. Jackson Hole Tim (www.jacksonholetim.com) is a new place to visit that talks about “All things Wyoming, Everything Jackson Hole”. I hope you find these blog helpful.
Source: wordpress.com

AARP Medigap Rates 2013 New York « Insurance News from Crowe & Associates

I would like to dispel some common misconceptions with Medicare supplement plans (Also called Medigap) Medicare supplement plans DO NOT have a network.  You may go to any doctor that accepts Medicare.   Medicare supplement do not have drug coverage, you need to purchase a part D plan in order to obtain drug coverage.   Medicare Supplements are secondary to Medicare.  When you go to the doctor or hospital, you show them your original Medicare card and that is what they will bill.  The supplement will pick up the costs that original Medicare does not cover.  There is not any Medical underwriting in the state of Connecticut if you are turning 65 or if you have had continuous coverage for a retirement plan, a different supplement or a Medicare Advantage plan.
Source: croweandassociates.com

Medicare Supplement Plan F

At first glance this doesn’t make any sense at all since I just told you that it was more expensive on a monthly basis, but when you break down what it covers and the risk involved the Medicare supplement plan f will save you money in the long run.  With the coverage gaps left by Medicare Part A and Part B you can choose any of the ten Medicare supplement plans.  The problem is that each plan covers a different amount or combination of those coverage gaps.  So if you choose plan A you are still open to extra costs from a need for skilled nursing care, the Medicare part A deductible of $1,156, the Medicare part B deductible of $140 annually, any foreign travel expenses, and an charges that fall under Medicare Part B that are above the Medicare approved amount.  In this example if you went into your doctor’s office he would charge you $140 before any of your coverage comes into play.  If that same doctor decided you need to be admitted to the hospital you would then owe the $1,156 for being admitted.  After that you would be subject to additional charges if they moved you to a skilled nursing facility.  Just one quick incident can add up fast and instead of worrying about all this you can moderate your life by just getting a Medicare supplement plan F.
Source: dzida.org

do people like medicare advantage?

Flexible benefit structures: Medicare Advantage plans were traditionally HMO plans, with all services being provided through a designated provider network of physicians and hospitals. But, in the last few years more and more Medicare Advantage plans are being offered as Preferred Provider Organizations (PPOs), which give customers more choices when it comes to providers. Some are also Private Fee-for-Service (PFFS) plans that don’t typically have networks, however, providers must accept plan payment and rules; and Special Needs Plans (SNPs) specifically designed for people with lower incomes and/or specific diseases or conditions.
Source: ehealthinsurance.com

Florida Medicare Part D Plans

Anyone who require for this medical facility can opt for this service in any case if he or she is with limited source of income. Those who do not earn much have facility of getting extra help for various services that included in medication part D plan. $4,000 is almost amount that you will get as an extra help from these medication plan. Monthly premium and it can also be your prescription payment for which you will get all help. This can act as big saving for those who do not earn much. So make sure that are you clearing criteria of getting that much help.
Source: medicare-supplement-advisor.org

MediGap Advisors fills Need for Seniors

I am president of Medigap Advisors.  I have been helping individuals get the best value in health insurance for over 25 years. I believe in free-market consumer-driven healthcare solutions including HSAs and HRAs, and greater healthcare price transparency.  In my blogs and other writings I share strategies for lowering healthcare and health insurance costs, ideas for improving our healthcare system, and techniques and lifestyle strategies for optimizing personal health.  I was also founder and publisher of The Paleo Diet Newsletter, and like to show people how they can avoid medical expenses in the first place through lifestyle changes.
Source: wordpress.com

Medicare Open Enrollment: last chance to review and compare plans

Posted by:  :  Category: Medicare

With the holiday season upon us, it’s easy to get busy this time of year. Some pretty important tasks can get left to the last minute. One of those important tasks is ensuring you are in the right health insurance plan in Medicare.  Selecting the right plan is a personal choice, and a lot of thoughtful consideration goes into finding the right match.  But just like the holidays, those key dates come whether or not you are ready.
Source: medicare.gov

Video: SHIIP Medicare Enrollment Basics.flv

CMS Awards $306M To States For Enrolling More Kids In Medicaid

Georgia Health News: State Gets (Smaller) Bonus For Kids’ Enrollment Georgia is one of 23 states that will receive a performance bonus for enrolling eligible children in government health insurance programs, but the amount is far less than last year’s award. The Centers for Medicare & Medicaid Services said Wednesday that Georgia will receive a bonus of $1.9 million. The state’s bonus last year was almost $5 million. 2011 was the first year that Georgia got this performance bonus, funded under legislation that reauthorized the Children’s Health Insurance Program (CHIP). A state qualifies for a federal bonus by implementing procedures to simplify enrollment and renewal to ensure that all eligible children have easier access to coverage under Medicaid and CHIP, which in Georgia is known as PeachCare (Miller, 12/19).
Source: kaiserhealthnews.org

Resource Center for Religious Institutes: Medicare Open Enrollment Period Closes Tomorrow!

Note that you can join a health or drug plan under Medicare when you first get Medicare (initial enrollment periods for Part C & D), such as when you turn age 65. Each year, you have a chance to make changes to your Medicare Advantage or Medicare prescription drug coverage for the following year. There are 2 separate enrollment periods each year. According to the Medicare website:
Source: blogspot.com

CMS Announces 2013 Provider Enrollment Application Fee Amount : Health Industry Washington Watch

CMS recently published a notice announcing a $532.00 calendar year 2013 application fee for institutional providers that are initially enrolling in the Medicare or Medicaid program or the Children’s Health Insurance Program (CHIP); revalidating their Medicare, Medicaid or CHIP enrollment; or adding a new Medicare practice location. This fee is required with any enrollment application submitted on or after January 1, 2013 and on or before December 31, 2013. 
Source: healthindustrywashingtonwatch.com

Office of Statewide Benefits provides information on Medicare Parts A, B enrollment

Failure to enroll and maintain enrollment in Medicare Parts A and B upon eligibility may result in the subscriber being held financially responsible for the cost of all claims incurred, including prescription costs. Retirees and spouses enrolled in Medicare Parts A and B must provide a copy of their Medicare Identification Card to be enrolled in the state of Delaware Special Medicfill plan.
Source: udel.edu

NHMSP: The Day has Arrived

Visit www.nhcoa.org/medicare for more information about Medicare fraud and how to get involved with the National Hispanic Seniors Medicare Patrol (NHSMP), or call us at 1-866-488-7379. Also remember you still have a day to take advantage of Medicare Open Enrollment. Call Medicare at 1-800-MEDICARE or visit www.medicare.gov to make an informed decision using the Medicare Plan Finder.
Source: nhcoa.org

Medicare open enrollment: Did Obamacare secretly increase Part B premiums?

Here’s what’s happening. The 2003 law that set up these high-income premium surcharges also stated that the income thresholds were to increase every year to account for general inflation. But the Affordable Care Act freezes the thresholds at their current level through 2019, which will over the next six years snare more and more beneficiaries as incomes in general rise (or at least we hope they do). The Kaiser Family Foundation estimates that by 2019, about 14 percent of Medicare beneficiaries will be paying these higher premiums.
Source: consumerreports.org

With 3 days left in Medicare’s Annual Enrollment Period, what can you do to save money on Medicare in 2013?

When we looked at the customers who used PlanPrescriber.com during the first three weeks of this year’s AEP, we found that only 8% were in the Medicare prescription drug plan (PDP) or Medicare Advantage prescription drug plan (MAPD) plan with the lowest total out-of-pocket costs available to them.
Source: ehealthinsurance.com

More Time to Enroll in Medicare If You Live in Storm Areas

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

Coventry Expands Healthways SilverSneakers® Fitness Program to Its Medicare Advantage Beneficiaries in 13 States

Posted by:  :  Category: Medicare

Healthways (HWAY) is the largest independent global provider of well-being improvement solutions. Dedicated to creating a healthier world one person at a time, the Company uses the science of behavior change to produce and measure positive change in well-being for our customers, which include employers, integrated health systems, hospitals, physicians, health plans, communities and government entities. We provide highly specific and personalized support for each individual and their team of experts to optimize each participant’s health and productivity and to reduce health-related costs. Results are achieved by addressing longitudinal health risks and care needs of everyone in a given population. The Company has scaled its proprietary technology infrastructure and delivery capabilities developed over 30 years and now serves approximately 40 million people on four continents. Learn more at www.healthways.com or www.silversneakers.com.
Source: gymrat-fitness.com

Video: Silver Sneakers class at the Carl H. Lindner YMCA

Regence and Healthways Partner to Offer SilverSneakers? Fitness …

Healthways (HWAY) is the largest independent global provider of well-being improvement solutions. Dedicated to creating a healthier world one person at a time, the Company uses the science of behavior change to produce and measure positive change in well-being for our customers, which include employers, integrated health systems, hospitals, physicians, health plans, communities and government entities. We provide highly specific and personalized support for each individual and their team of experts to optimize each participant?s health and productivity and to reduce health-related costs. Results are achieved by addressing longitudinal health risks and care needs of everyone in a given population. The Company has scaled its proprietary technology infrastructure and delivery capabilities developed over 30 years and now serves approximately 40 million people on four continents. Learn more at www.healthways.com or www.silversneakers.com.
Source: typepad.com

Humana Medicare Supplement Plans Great Company With silver Sneakers

Humana Medicare Advantage plans are the most popular plans in the Medicare marketplace. They are offered in almost every county in the entire country and have a vast network of doctors and hospitals. These plans are priced very well and often include prescription drug plans, but the copayments for doctors and hospitals can be very high. In addition these plans often have networks, which not all doctors and hospitals participate in. Therefore, it is very important to check with you physicians and local hospital to make sure they accept these plans before purchasing.
Source: wordpress.com

SilverSneakers Offers Free Gym Memberships

People who wish to improve their health through focused exercises specially designed to meet the needs of older adults may wish to participate in the SilverSneakers Fitness Program. Those who qualify may enjoy a free membership to a participating fitness center, but other members of the gym may also take SilverSneakers classes at that facility. With a variety of group exercise classes offered on land and in the water that are taught by certified instructors, participants can enjoy exercising in a positive social atmosphere that can meet the needs of seniors of varying levels of fitness.
Source: suite101.com

The Salvation Army Kroc Center Now Offers Silver Sneakers and Prime Fitness Programs

The Salvation Army Kroc Center will offer special Silver Sneakers classes for enrolled seniors which will target areas such as balance, strength, and flexibility. In addition, Silver Sneakers participants can attend health education seminars that provide useful information on securing and maintaining a healthy lifestyle. The Prime fitness program works in a similar fashion, offering full member benefits to employees of businesses offering the program. These changes will expand the ability of the Salvation Army Kroc Center to serve the public and will help support its goal of improving the physical, mental, and spiritual well-being of the community.
Source: krocaugusta.org

SilverSneakers Day proclaimed

Older adults are invited to celebrate National SilverSneakers Day on Monday, May 23, by participating in the Healthways SilverSneakers® Fitness Program at SilverSneakers fitness locations all over the country. SilverSneakers, the nation’s leading social support and exercise program designed to keep older adults healthy, offers an innovative blend of physical activity, healthy lifestyle and socially oriented programming.
Source: atmorenews.com

Research Roundup: Medicare Advantage Plan Beneficiaries May Get More Appropriate Services; CHIP Participation Grows

Posted by:  :  Category: Medicare

Congressman Kendrick B. Meek by cliff1066™Urban Institute/Robert Wood Johnson Foundation: Medicaid/CHIP Participation Among Children And Parents – “Despite the economic downturn, most states have maintained or expanded Medicaid and CHIP for children, by expanding eligibility to higher income and immigrant children, undertaking enrollment and retention simplifications, and implementing new policy options,” the authors wrote about coverage rates between 2008 and 2010. The rate of eligible children participating in Medicaid or CHIP grew to 86 percent nationwide and the number of eligible children who were not insured fell by 500,000 in that time, the study found. Participation rates for eligible parents were lower, however. The authors conclude that the 2009 law designed to improve participation of children in the program “may have contributed to increased take-up for Medicaid/CHIP among children, but that additional efforts will be needed, particularly among parents, to achieve high levels of Medicaid enrollment under the Affordable Care Act ACA” (Kenney et al., 12/3).
Source: kaiserhealthnews.org

Video: Medicare replacement vs. Supplement

The Trouble with Medicare Advantage

Fillman goes on to explain: “The new accounting rules issued by the Governmental Accounting Standards Board (GASB) place a tremendous strain on public retiree health benefits and add to the lure of these private Medicare plans.  The GASB rules require public employers to estimate future costs of their retiree health benefits – 35 years into the future – and publish them on their annual financial statements.  To reduce this paper liability, more public employers are proposing a switch from their own solid retiree health plans, which include traditional Medicare, to these private Medicare plans.  This is a major factor in public employers’ decisions to switch to Medicare Advantage private fee-for-service plans.
Source: healthbeatblog.com

CS Replacement Medicare 11Gauge Vinyl Pad

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Source: dig1talcamcorderreviews.com

Medicare Advantage In Limbo?

Most people are unaware that the recent health insurance reform legislation, the Patient Protection and Affordable Care Act (PPACA), made significant changes to how Medicare Advantage Plans are reimbursed by the federal government.  While the intent behind the legislation is to ensure that private health insurers are providing the highest possible quality of care to those enrolled in their plans, the result will likely be that beneficiaries experience reduced benefits and higher premiums over the next few years, leading many to opt out of the program in favor of traditional Medicare and/or Medigap.  For the time being, however, Medicare Advantage enrollment is up and premiums are down due to quality bonus payments due to private health insurers.  Medicare beneficiaries can take advantage of the lower premiums for now, but should be aware that things may change over the next year or two.
Source: advocator.com

What Medicare Needs is a Consumer

Medicare’s cuts will be implemented by changing the way fees for the diagnostic procedures are calculated. Instead of reimbursing neurologists for each nerve analyzed, the new billing codes will henceforth bundle multiple nerve-conduction tests into a single fee. The Obama administration claims that under the current system Medicare has been paying too much for neurologists’ overhead costs. But the American Academy of Neurology, in an advisory to its members, warns that the cuts will devastate “neurology practices large and small, many of which rely on these services to meet their bottom line.” Patients will be hurt as well: As Medicare squeezes neurologists, seniors’ access to neurological care will dwindle.
Source: townhall.com

Jon Chait’s Miserable Endorsement of Raising the Medicare Eligibility Age

What’s more, raising the Medicare retirement age would help strengthen the fight to preserve the Affordable Care Act […] The political basis for the right’s opposition to universal health insurance has always been that the uninsured are politically disorganized and weak. But a side effect of raising the Medicare retirement age would be that a large cohort of 65- and 66-year-olds would suddenly find themselves needing the Affordable Care Act to buy their health insurance. Which is to say, Republicans attacking the Affordable Care Act would no longer be attacking the usual band of very poor or desperate people they can afford to ignore but a significant chunk of middle-class voters who have grown accustomed to the assumption that they will be able to afford health care. Strengthening the political coalition for universal coverage seems like a helpful side benefit — possibly even one conservatives come to regret, and liberals, to feel relief they accepted.
Source: firedoglake.com

[WATCH]: Medicare replacement vs. Supplement

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Source: insurancequotes24-7.com

Medicare Spends 14% Less Than Private Insurers on Total Knee Replacements

Researchers at HCI3 looked at 19,127 Medicare beneficiaries and 31,949 commercially insured patients who underwent a total knee replacement procedure between Jan. 1, 2008, and June 30, 2010. Medicare spent 14 percent less on the total average cost of the total knee replacement episode, while variation also existed in the average hospital index stay costs and average professional services costs. Overall, the authors of the study concluded that bundling services into a single episode could help reduce the variation of payment for total knee replacements in addition to reducing the variation in hospital stays, professional services, post-acute care and readmissions.
Source: beckersspine.com

MEDICARE ADVANTAGE PLAN PROBLEMS

Giving up Medicare Part A and Medicare Part B is necessary, because it allows the person to sign up with the insurance company that is selling the Medicare Advantage plan. This is a potentially dangerous sacrifice, considering the insurance company is not obligated to renew their contract with Medicare each year. If the insurance company did drop out of their Medicare Advantage contract, you would be dis-enrolled from that Medicare Advantage Plan and would have to start over looking for another one that met your needs adequately.
Source: floridahealthinsurancebroker.com

Daily Kos: “I have to get my hip replaced now, because ObamaCare is cutting that off for old folks”

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Source: dailykos.com